At Home Mission NFP
Organization Active NPI Community/Behavioral Health Agency · Niles, IL
NPI 1053783522 · NPPES record last updated Oct 23, 2015
Key facts
- NPI
- 1053783522
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 201500001C (IL)
- Legal business name
- AT HOME MISSION NFP
- Practice address
- 7617 N Oketo Ave
Niles, IL 60714-3113 - Phone
- (312) 646-8099
- Fax
- (312) 626-2489
- NPI assigned
- Oct 23, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Dragos Butucea Boscoianu
- Title
- Executive Director
- Phone
- (312) 646-8099
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 201500001C | IL | |
| Community/Behavioral Health Agency | 251S00000X | 201500001C | IL | Yes |
Addresses
Primary practice location
7617 N Oketo Ave
Niles, IL 60714-3113
Mailing address
7617 N Oketo Ave
Niles, IL 60714-3113
Phone (312) 646-8099
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All providers in Niles, IL · Community/Behavioral Health Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.